HomeMy WebLinkAboutZ-22941FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-22941 Date APRIL 13 1994
THIS CERTIFIES that the buildin~ ONE FAMILY DW~LnING
Location of Property 3100 DEEP HOLE DRIVE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 17 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22941 dated APRIL 14, 1994
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DW~TW.ING *
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PT.~ASE SEE ATTAu~D INSPECTION R~.~RT... .
Rev. 1/81 ~
JAMES N. & FAY V. SM~.?.
N/A
N/A
N/A
Building Inspec~r
BUILDING DEPARTI~NT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3100 DEEP HOLE DRIVE
(number & street)
SUBDIVISION MAP NO.
NAME OF OWNER (s) JAMES H. & FAY V. SMALL
HATTITUCE, NEW YORK
(municipality)
LOT(s)
OCCUPANCY SINGLE FAMILY
(type)
ADMITTED BY: MRS. SMALL
KEY AVAILABLE
SOURCE OF REQUEST: JAMES & FAY SMALL
(owner-tenant)
ACCOMPANIED BY: MRS. SMALL
SUPF.CO. TAX MAP NO. 1000-115-17-14 ~
DATE: }~CN 4, ]994
DWELLING:
YYFE OF CONSTRUCTION
FOHNDATION
TOTAL ROOMS:
BATHROOM (s)
PORCH TYPE
WOOD FRAM~
BREEZEWAY
DOMESTIC HOTWATER XX TYFE HEATER
T~PEHEAT OIL WARM AIR
OTHER: BASEMENT PLAYROOM WITH EXIT
CEMENT BLOCK CELLAR
I ST FLR. 5 2ND FLR.
2 TOILET ROOM (s)
WATERSIDE COVEllED SCREEN DECK, TYPE
FIREPLACE !
ELECTRIC
[ STORIES I [ EXITS
PARTIAL CRAWL SPACE XX
3RDFLR.
UTILITY ROOM
PATIO
GARAGE HO
AIRCONDITIONING CENTP~S'L
HOTWATER
ACCESSORY STRUC'rugES:
gARAGE, TYPE OF CONST.
SWIMMING POOL
OTHER:
STORAGE, 'r¥1'E CONST.
,. GUEST, TYPE CONST.
METAL SHED & WOOD SHED
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
BP #14586Z-C0 Z-16465 ISSUED FOR PORCH & RENOVATION & FRONT DECK
~2~84~Z-CO~.~/~//Z-2~SUE~ FOR ACCESSORY SHED
BY ~ f~'/~~ DATE OF INSPECTION MARCH 8
JOHN M. BOUPiS' f~ TIME START 9:45 END
INSPECTED
lqq&
!0:10
CONSENT
TO
INSPECTION
~//~;~7~' //-//~ /x~/4/' /c-/~. y /f. ~ff , the undersigned,
O~er(s) Name(s)
do(~ hereby sta~e:
That the unders~ned ~ (are) the owner(s) of the pr~mises in the To~
//F/-~ , which ~s sho,m and desi~nated on ~he Suffolk
That the undersigned (~(ha~e) filed, o~ caused ~o be filed, an applica-
tion in the Southold Tox~rn ]Building Inspector's Office for the following: __
/ /
/
That the unders~ned do(~) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
·
The undersigned, in consenting to such inspections, d so with the
knowledge and understanding that any hnformation obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for rio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
,. ~,; '" (sign-atur e)
(print name)
(signature)
(print name)